Trinity Medical Center East & Trinity Medical Center West — Pricing

800 procedures published in this hospital's Machine-Readable File (MRF) — 800 with a comparable price, 0 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.

Procedures published 800
Lowest published price $2,078
Average published price $22,315
Highest published price $332,599

Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.

Showing all 800 procedures

Published charges

Showing all 800 procedures with a comparable published price (gross, cash, or insurance-negotiated median), sorted highest to lowest. Green = this hospital prices below the median; amber = above. Cash-pay prices not published for this hospital.

Across 40 procedures, this hospital's negotiated rates average ≈122% of what Medicare pays.

DRG Description Published price vs. OH median vs. National median vs Medicare
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $332,599 $483,987 −31% $573,534 −42% —
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $247,219 $362,617 −32% $461,389 −46% —
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $219,062 $306,087 −28% $306,087 −28% —
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $190,315 $276,951 −31% $371,366 −49% —
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $127,547 $184,103 −31% $248,521 −49% —
007 LUNG TRANSPLANT $113,928 $170,608 −33% $170,608 −33% —
014 ALLOGENEIC BONE MARROW TRANSPLANT $111,658 $171,028 −35% $182,314 −39% —
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $101,923 $155,461 −34% $194,769 −48% —
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $101,676 $137,630 −26% $142,326 −29% —
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $96,687 $142,952 −32% $196,346 −51% —
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $93,977 $139,842 −33% $164,641 −43% —
215 OTHER HEART ASSIST SYSTEM IMPLANT $93,246 $139,148 −33% $208,939 −55% —
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $89,474 $121,563 −26% $121,563 −26% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $86,191 $127,148 −32% $188,171 −54% —
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $81,060 $110,483 −27% $144,774 −44% —
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITH MCC $75,407 $112,119 −33% $153,282 −51% —
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $75,304 $74,709 +1% $106,057 −29% —
231 CORONARY BYPASS WITH PTCA WITH MCC $74,474 $112,178 −34% $147,227 −49% —
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $73,860 $76,970 −4% $106,778 −31% —
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $73,100 $106,929 −32% $148,686 −51% —
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $70,918 $105,228 −33% $105,228 −33% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $69,679 $96,607 −28% $144,569 −52% —
453 NO ACTIVE CODE DESCRIPTION $69,283 $103,861 −33% $103,861 −33% —
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $69,105 $94,742 −27% $132,794 −48% —
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $68,949 $102,814 −33% $143,242 −52% —
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $68,523 $52,255 +31% $66,848 +3% —
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $68,114 $52,536 +30% $74,755 −9% —
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $65,894 $99,339 −34% $120,573 −45% —
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $65,684 $86,542 −24% $123,995 −47% —
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $65,261 $89,681 −27% $126,098 −48% —
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $63,640 $80,075 −21% $103,455 −38% —
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $62,979 $94,288 −33% $131,961 −52% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $62,119 $92,883 −33% $148,832 −58% —
010 PANCREAS TRANSPLANT $61,465 $99,940 −38% $99,940 −38% —
044 NO ACTIVE CODE DESCRIPTION $61,316 $61,316 +0% $85,065 −28% —
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $60,363 $89,353 −32% $89,353 −32% —
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $60,256 $83,090 −27% $88,566 −32% —
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $60,099 $89,209 −33% $125,242 −52% —
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $59,095 $86,374 −32% $116,058 −49% —
230 NO ACTIVE CODE DESCRIPTION $58,908 $74,504 — $58,096 +1% —
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $58,698 $91,253 −36% $102,600 −43% —
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $58,154 $84,844 −31% $109,331 −47% —
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $57,223 $80,603 −29% $113,855 −50% ≈105% of Medicare
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $56,896 $82,458 −31% $108,472 −48% —
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $56,366 $82,102 −31% $115,839 −51% —
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $55,373 $83,192 −33% $117,280 −53% —
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $55,186 $82,731 −33% $98,912 −44% —
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $54,348 $81,176 −33% $98,260 −45% —
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $54,348 $81,176 −33% $81,176 −33% —
028 SPINAL PROCEDURES WITH MCC $54,141 $81,731 −34% $113,077 −52% —
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $53,666 $74,634 −28% $105,899 −49% —
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $53,342 $73,986 −28% $101,618 −48% —
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME NEONATE $53,277 $53,277 +0% $80,018 −33% —
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $53,049 $64,248 −17% $92,217 −42% —
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $52,705 $78,460 −33% $96,192 −45% —
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $52,558 $79,247 −34% $112,062 −53% —
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITH CC $52,310 $77,406 −32% $107,355 −51% —
459 NO ACTIVE CODE DESCRIPTION $51,855 $75,251 −31% $75,251 −31% —
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $50,524 $71,776 −30% $111,320 −55% —
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $50,248 $69,912 −28% $99,943 −50% —
834 ACUTE LEUKEMIA WITH MCC $49,619 $62,164 −20% $85,566 −42% —
653 MAJOR BLADDER PROCEDURES WITH MCC $49,327 $64,273 −23% $104,583 −53% —
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $49,107 $73,030 −33% $90,401 −46% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $49,081 $44,609 +10% $89,207 −45% —
012 TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $49,055 $56,456 −13% $79,836 −39% —
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $49,054 $72,075 −32% $102,573 −52% —
405 PANCREAS LIVER AND SHUNT PROCEDURES WITH MCC $48,757 $73,455 −34% $102,128 −52% —
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $48,702 $62,801 −22% $90,331 −46% —
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $48,086 $86,459 −44% $86,459 −44% —
454 NO ACTIVE CODE DESCRIPTION $47,821 $69,101 −31% $69,101 −31% —
011 TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $47,500 $73,038 −35% $101,576 −53% —
043 NO ACTIVE CODE DESCRIPTION $46,403 $46,855 −1% $46,703 −1% —
222 NO ACTIVE CODE DESCRIPTION $45,943 $86,864 −47% $86,864 −47% —
223 NO ACTIVE CODE DESCRIPTION $45,943 $59,206 −22% $59,206 −22% —
224 NO ACTIVE CODE DESCRIPTION $45,943 $80,427 −43% $80,427 −43% —
225 NO ACTIVE CODE DESCRIPTION $45,943 $57,380 −20% $57,380 −20% —
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $45,915 $67,791 −32% $96,905 −53% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $45,665 $69,695 −34% $99,423 −54% —
013 TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $45,023 $37,588 +20% $48,687 −8% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $44,722 $68,020 −34% $93,172 −52% ≈121% of Medicare
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $44,281 $68,095 −35% $77,055 −43% —
237 NO ACTIVE CODE DESCRIPTION $43,893 $43,893 — $49,435 −11% —
471 CERVICAL SPINAL FUSION WITH MCC $43,637 $66,189 −34% $92,515 −53% —
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $43,359 $68,473 −37% $93,390 −54% —
006 LIVER TRANSPLANT WITHOUT MCC $43,339 $84,407 −49% $84,407 −49% —
799 SPLENIC PROCEDURES WITH MCC $43,149 $64,885 −33% $82,218 −48% —
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $43,086 $68,045 −37% $93,238 −54% —
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $42,841 $69,206 −38% $96,507 −56% —
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $42,489 $64,874 −35% $90,775 −53% —
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $42,270 $65,149 −35% $90,724 −53% —
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $42,023 $63,571 −34% $91,329 −54% —
163 MAJOR CHEST PROCEDURES WITH MCC $41,564 $63,017 −34% $90,195 −54% —
061 ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $41,359 $38,281 +8% $62,264 −34% —
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $41,327 $63,928 −35% $87,761 −53% —
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $40,893 $62,992 −35% $71,551 −43% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $40,862 $62,792 −35% $88,050 −54% —
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $40,232 $43,510 −8% $65,325 −38% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $40,124 $61,750 −35% $76,001 −47% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $40,075 $23,254 +72% $30,010 +34% —
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $39,947 $56,194 −29% $81,998 −51% —
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $39,857 $61,240 −35% $88,307 −55% —
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $39,584 $61,401 −36% $84,692 −53% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $39,344 $60,697 −35% $70,177 −44% —
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $39,310 $59,237 −34% $83,441 −53% —
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $39,229 $60,208 −35% $86,970 −55% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $38,914 $29,012 +34% $39,106 −0% —
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $38,696 $16,872 +129% $23,488 +65% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $38,587 $16,723 +131% $23,141 +67% —
062 ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $38,513 $26,308 +46% $52,075 −26% —
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $38,293 $53,970 −29% $79,116 −52% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $38,234 $58,558 −35% $82,561 −54% —
245 AICD GENERATOR PROCEDURES $38,062 $66,564 −43% $72,076 −47% —
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $37,843 $12,931 +193% $19,037 +99% —
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $37,774 $58,476 −35% $101,510 −63% —
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $37,675 $50,550 −25% $68,639 −45% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $37,467 $9,054 +314% $18,649 +101% —
063 ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $37,337 $21,427 +74% $39,887 −6% —
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $37,301 $57,584 −35% $72,962 −49% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $37,256 $57,196 −35% $85,159 −56% —
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $36,614 $56,565 −35% $82,247 −55% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $36,611 $56,535 −35% $73,120 −50% —
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $36,492 $47,288 −23% $60,098 −39% —
791 PREMATURITY WITH MAJOR PROBLEMS $36,482 $34,928 +4% $42,679 −15% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $36,016 $57,570 −37% $77,990 −54% —
455 NO ACTIVE CODE DESCRIPTION $36,009 $54,320 −34% $56,836 −37% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $35,955 $55,985 −36% $79,225 −55% —
628 OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $35,563 $54,405 −35% $71,795 −50% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $35,139 $53,167 −34% $75,573 −54% —
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $35,126 $54,300 −35% $61,832 −43% —
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $34,997 $53,945 −35% $78,852 −56% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $34,919 $53,357 −35% $66,685 −48% —
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $34,885 $50,089 −30% $76,219 −54% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $34,882 $54,898 −36% $77,817 −55% —
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $34,780 $59,352 −41% $59,352 −41% —
326 STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $34,660 $69,008 −50% $80,793 −57% —
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $34,604 $49,237 −30% $54,196 −36% —
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $34,550 $54,862 −37% $62,300 −45% —
956 LIMB REATTACHMENT HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $34,428 $52,805 −35% $75,103 −54% —
040 PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $34,050 $52,152 −35% $74,257 −54% —
246 NO ACTIVE CODE DESCRIPTION $34,001 $33,983 +0% $33,983 +0% —
248 NO ACTIVE CODE DESCRIPTION $34,001 $34,146 −0% $34,146 −0% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $33,799 $50,398 −33% $61,470 −45% —
238 NO ACTIVE CODE DESCRIPTION $32,962 $20,571 — $33,293 −1% —
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $32,752 $53,307 −39% $59,594 −45% —
226 NO ACTIVE CODE DESCRIPTION $32,680 $72,618 −55% $72,618 −55% —
227 NO ACTIVE CODE DESCRIPTION $32,680 $56,960 −43% $56,960 −43% —
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $32,347 $49,711 −35% $71,092 −55% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $32,342 $49,106 −34% $71,755 −55% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $32,305 $36,798 −12% $59,533 −46% —
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $32,081 $48,637 −34% $62,583 −49% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $32,071 $26,853 +19% $37,387 −14% —
265 AICD LEAD PROCEDURES $31,889 $49,492 −36% $63,171 −50% —
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $31,762 $48,887 −35% $56,964 −44% —
332 RECTAL RESECTION WITH MCC $31,683 $48,214 −34% $58,125 −45% —
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $31,676 $49,721 −36% $66,711 −53% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITH MCC $31,576 $49,285 −36% $70,564 −55% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $31,493 $48,670 −35% $69,743 −55% —
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $31,106 $56,242 −45% $56,242 −45% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $31,033 $48,655 −36% $66,068 −53% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $30,936 $47,899 −35% $71,014 −56% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $30,916 $46,494 −34% $70,847 −56% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $30,902 $38,933 −21% $52,036 −41% —
247 NO ACTIVE CODE DESCRIPTION $30,872 $21,663 +43% $21,663 +43% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $30,651 $39,827 −23% $50,919 −40% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $30,650 $34,470 −11% $51,953 −41% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $30,638 $47,828 −36% $68,653 −55% —
041 PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $30,585 $32,503 −6% $49,418 −38% —
252 OTHER VASCULAR PROCEDURES WITH MCC $30,542 $39,129 −22% $68,508 −55% —
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $30,340 $46,760 −35% $67,268 −55% —
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $30,314 $46,361 −35% $65,216 −54% —
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $30,283 $47,403 −36% $70,371 −57% —
037 EXTRACRANIAL PROCEDURES WITH MCC $29,970 $35,207 −15% $66,666 −55% —
665 PROSTATECTOMY WITH MCC $29,751 $47,758 −38% $54,072 −45% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $29,739 $16,935 +76% $24,914 +19% —
143 OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITH MCC $29,707 $46,049 −35% $52,908 −44% —
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $29,526 $45,618 −35% $65,788 −55% —
579 OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $29,510 $45,498 −35% $58,745 −50% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $29,354 $47,218 −38% $70,132 −58% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $29,129 $44,977 −35% $72,424 −60% —
042 PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $29,085 $26,006 +12% $39,018 −25% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $28,969 $13,438 +116% $17,620 +64% —
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $28,876 $45,479 −37% $65,608 −56% —
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $28,757 $40,662 −29% $63,928 −55% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $28,687 $40,142 −29% $81,706 −65% ≈123% of Medicare
500 SOFT TISSUE PROCEDURES WITH MCC $28,678 $42,092 −32% $61,872 −54% —
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $28,662 $44,472 −36% $44,472 −36% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $28,625 $44,389 −36% $55,289 −48% —
460 NO ACTIVE CODE DESCRIPTION $28,600 $42,725 −33% $51,625 −45% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $28,436 $29,520 −4% $49,710 −43% —
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $28,394 $43,701 −35% $65,573 −57% ≈105% of Medicare
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $27,993 $44,663 −37% $71,464 −61% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $27,985 $43,330 −35% $62,821 −55% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $27,911 $43,218 −35% $53,864 −48% —
662 MINOR BLADDER PROCEDURES WITH MCC $27,640 $43,683 −37% $54,562 −49% —
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $27,582 $43,021 −36% $60,407 −54% —
652 KIDNEY TRANSPLANT $27,382 $54,720 −50% $54,720 −50% —
051 NO ACTIVE CODE DESCRIPTION $27,301 $27,301 +0% $28,594 −5% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $27,151 $42,891 −37% $64,523 −58% —
249 NO ACTIVE CODE DESCRIPTION $26,892 $20,610 +30% $20,610 +30% —
570 SKIN DEBRIDEMENT WITH MCC $26,774 $40,626 −34% $52,435 −49% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $26,658 $41,464 −36% $58,228 −54% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $26,618 $34,285 −22% $46,402 −43% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $26,453 $41,365 −36% $65,653 −60% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $26,439 $41,024 −36% $70,467 −62% —
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $26,331 $41,261 −36% $60,170 −56% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $26,225 $22,651 +16% $30,502 −14% —
472 CERVICAL SPINAL FUSION WITH CC $26,218 $56,206 −53% $59,537 −56% —
625 THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $25,938 $40,406 −36% $59,031 −56% —
668 TRANSURETHRAL PROCEDURES WITH MCC $25,909 $41,045 −37% $51,608 −50% —
800 SPLENIC PROCEDURES WITH CC $25,894 $41,012 −37% $49,184 −47% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $25,859 $40,991 −37% $59,790 −57% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $25,755 $33,308 −23% $36,489 −29% —
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $25,690 $40,363 −36% $58,975 −56% —
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $25,541 $38,709 −34% $48,358 −47% —
406 PANCREAS LIVER AND SHUNT PROCEDURES WITH CC $25,493 $39,644 −36% $58,043 −56% —
510 SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITH MCC $25,272 $40,289 −37% $49,839 −49% —
654 MAJOR BLADDER PROCEDURES WITH CC $25,114 $39,822 −37% $58,274 −57% —
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $25,063 $40,341 −38% $61,217 −59% —
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $24,929 $39,606 −37% $52,986 −53% —
263 VEIN LIGATION AND STRIPPING $24,567 $38,005 −35% $51,253 −52% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $24,491 $38,454 −36% $43,491 −44% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $24,380 $38,166 −36% $44,546 −45% —
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $24,260 $37,631 −36% $44,222 −45% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $24,206 $34,905 −31% $52,405 −54% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $24,145 $33,207 −27% $50,618 −52% —
849 RADIOTHERAPY $24,094 $37,862 −36% $37,862 −36% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $23,947 $37,153 −36% $46,453 −48% —
503 FOOT PROCEDURES WITH MCC $23,922 $37,295 −36% $47,540 −50% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $23,916 $37,754 −37% $47,945 −50% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $23,749 $37,242 −36% $54,929 −57% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $23,685 $36,097 −34% $39,173 −40% —
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $23,450 $37,509 −37% $41,422 −43% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $23,275 $36,735 −37% $52,178 −55% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $23,081 $36,791 −37% $45,167 −49% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $22,996 $35,964 −36% $49,423 −53% —
253 OTHER VASCULAR PROCEDURES WITH CC $22,977 $36,329 −37% $57,454 −60% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $22,937 $21,240 +8% $27,285 −16% —
164 MAJOR CHEST PROCEDURES WITH CC $22,765 $35,862 −37% $56,755 −60% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $22,745 $36,267 −37% $58,707 −61% —
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $22,654 $33,343 −32% $38,878 −42% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $22,648 $35,990 −37% $40,362 −44% —
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $22,459 $34,487 −35% $42,186 −47% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $22,340 $35,670 −37% $55,162 −60% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $22,212 $22,123 +0% $39,973 −44% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $22,168 $34,970 −37% $51,985 −57% —
792 PREMATURITY WITHOUT MAJOR PROBLEMS $22,135 $11,200 +98% $12,229 +81% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $22,119 $35,224 −37% $54,583 −59% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $21,887 $33,912 −35% $40,548 −46% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $21,733 $34,586 −37% $50,046 −57% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITH CC $21,635 $34,357 −37% $59,651 −64% —
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $21,620 $33,920 −36% $50,624 −57% —
397 APPENDIX PROCEDURES WITH MCC $21,608 $35,353 −39% $53,257 −59% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $21,602 $15,603 +38% $19,924 +8% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $21,571 $14,937 +44% $16,552 +30% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $21,560 $34,307 −37% $47,583 −55% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $21,493 $26,676 −19% $58,809 −63% ≈126% of Medicare
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $21,327 $33,872 −37% $59,500 −64% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $21,217 $21,645 −2% $50,139 −58% —
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $21,137 $33,823 −38% $50,498 −58% —
113 ORBITAL PROCEDURES WITH CC/MCC $21,117 $32,032 −34% $36,167 −42% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $21,036 $33,155 −37% $50,394 −58% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $20,964 $32,279 −35% $59,629 −65% —
619 O.R. PROCEDURES FOR OBESITY WITH MCC $20,956 $38,581 −46% $51,746 −60% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $20,935 $34,307 −39% $41,620 −50% —
620 O.R. PROCEDURES FOR OBESITY WITH CC $20,686 $23,921 −14% $35,453 −42% —
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $20,596 $33,237 −38% $40,060 −49% —
035 CAROTID ARTERY STENT PROCEDURES WITH CC $20,588 $32,719 −37% $49,066 −58% —
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $20,558 $22,167 −7% $32,451 −37% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $20,468 $32,773 −38% $48,349 −58% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $20,455 $32,604 −37% $41,892 −51% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $20,392 $23,776 −14% $50,011 −59% —
030 SPINAL PROCEDURES WITHOUT CC/MCC $20,359 $32,077 −37% $45,866 −56% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $20,343 $32,919 −38% $39,181 −48% —
629 OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $20,325 $32,385 −37% $47,737 −57% —
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $20,210 $32,504 −38% $38,998 −48% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $20,141 $25,347 −21% $48,682 −59% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $20,135 $32,168 −37% $47,789 −58% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $20,124 $32,829 −39% $42,415 −53% —
146 EAR NOSE MOUTH AND THROAT MALIGNANCY WITH MCC $20,124 $32,969 −39% $40,108 −50% —
709 PENIS PROCEDURES WITH CC/MCC $20,033 $32,359 −38% $34,535 −42% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $19,945 $31,740 −37% $41,608 −52% —
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $19,927 $27,244 −27% $32,031 −38% —
286 CIRCULATORY DISORDERS EXCEPT AMI WITH CARDIAC CATHETERIZATION WITH MCC $19,789 $31,920 −38% $46,283 −57% ≈116% of Medicare
835 ACUTE LEUKEMIA WITH CC $19,583 $30,915 −37% $35,569 −45% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $19,530 $31,349 −38% $42,901 −54% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $19,528 $31,353 −38% $45,333 −57% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $19,430 $31,193 −38% $45,877 −58% —
935 NON-EXTENSIVE BURNS $19,341 $26,396 −27% $31,701 −39% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $19,333 $23,677 −18% $53,451 −64% —
032 VENTRICULAR SHUNT PROCEDURES WITH CC $19,331 $30,912 −37% $46,724 −59% —
407 PANCREAS LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $19,324 $30,914 −37% $46,727 −59% —
595 MAJOR SKIN DISORDERS WITH MCC $19,277 $29,614 −35% $34,598 −44% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $19,252 $31,144 −38% $38,666 −50% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $19,229 $30,598 −37% $43,650 −56% —
327 STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $19,218 $34,708 −45% $59,421 −68% —
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $19,203 $21,611 −11% $31,044 −38% —
734 PELVIC EVISCERATION RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $19,201 $30,486 −37% $42,795 −55% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $19,194 $31,025 −38% $38,070 −50% —
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $19,155 $28,988 −34% $37,267 −49% —
336 PERITONEAL ADHESIOLYSIS WITH CC $19,048 $30,243 −37% $50,463 −62% —
333 RECTAL RESECTION WITH CC $19,044 $30,778 −38% $37,154 −49% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $19,044 $30,555 −38% $58,280 −67% ≈114% of Medicare
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $19,040 $30,860 −38% $42,906 −56% —
374 DIGESTIVE MALIGNANCY WITH MCC $19,023 $23,726 −20% $39,958 −52% —
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $18,990 $25,294 −25% $33,851 −44% —
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $18,851 $30,155 −37% $43,174 −56% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $18,801 $30,721 −39% $49,351 −62% —
906 HAND PROCEDURES FOR INJURIES $18,772 $31,520 −40% $32,065 −41% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $18,737 $30,124 −38% $52,751 −64% —
592 SKIN ULCERS WITH MCC $18,675 $29,882 −38% $33,246 −44% —
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $18,638 $27,322 −32% $36,249 −49% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $18,503 $30,404 −39% $46,066 −60% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $18,264 $29,304 −38% $46,090 −60% —
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $18,241 $29,518 −38% $31,134 −41% —
584 BREAST BIOPSY LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $18,221 $29,767 −39% $35,030 −48% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $18,196 $28,703 −37% $43,631 −58% —
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $18,193 $29,109 −38% $29,611 −39% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $18,183 $29,374 −38% $42,914 −58% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $18,177 $32,890 −45% $43,943 −59% —
539 OSTEOMYELITIS WITH MCC $18,154 $28,990 −37% $37,609 −52% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $18,119 $21,215 −15% $46,295 −61% —
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $18,114 $28,350 −36% $37,240 −51% —
548 SEPTIC ARTHRITIS WITH MCC $18,003 $23,672 −24% $31,346 −43% —
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $17,982 $29,131 −38% $44,363 −59% —
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $17,972 $22,791 −21% $30,770 −42% —
100 SEIZURES WITH MCC $17,932 $28,961 −38% $35,481 −49% ≈111% of Medicare
711 TESTES PROCEDURES WITH CC/MCC $17,926 $27,991 −36% $38,343 −53% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $17,876 $28,801 −38% $43,800 −59% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $17,870 $28,868 −38% $43,913 −59% —
511 SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITH CC $17,826 $28,648 −38% $43,538 −59% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $17,812 $28,787 −38% $44,139 −60% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $17,798 $28,660 −38% $35,628 −50% ≈116% of Medicare
283 ACUTE MYOCARDIAL INFARCTION EXPIRED WITH MCC $17,724 $22,361 −21% $39,955 −56% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH CC $17,625 $27,955 −37% $42,881 −59% —
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $17,609 $28,381 −38% $43,080 −59% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $17,577 $28,621 −39% $40,213 −56% —
380 COMPLICATED PEPTIC ULCER WITH MCC $17,473 $28,169 −38% $39,627 −56% —
744 D&C CONIZATION LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $17,444 $28,555 −39% $38,861 −55% —
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $17,365 $28,559 −39% $29,524 −41% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $17,216 $25,046 −31% $41,591 −59% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH CC $17,140 $22,047 −22% $34,459 −50% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $17,122 $26,863 −36% $40,562 −58% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $17,113 $27,823 −38% $42,126 −59% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $17,077 $27,093 −37% $32,637 −48% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $17,043 $27,666 −38% $50,607 −66% ≈117% of Medicare
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $17,024 $27,767 −39% $36,431 −53% —
585 BREAST BIOPSY LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $17,019 $28,958 −41% $32,574 −48% —
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITHOUT CC/MCC $17,004 $27,664 −39% $47,711 −64% —
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $16,990 $16,990 +0% $20,455 −17% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $16,915 $27,668 −39% $37,844 −55% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $16,908 $23,838 −29% $33,985 −50% —
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $16,901 $27,387 −38% $46,340 −64% —
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $16,839 $16,839 +0% $23,206 −27% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $16,838 $22,469 −25% $33,255 −49% —
559 AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $16,777 $17,867 −6% $33,047 −49% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $16,747 $17,596 −5% $36,792 −54% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $16,660 $24,341 −32% $36,670 −55% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $16,649 $27,058 −38% $32,859 −49% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $16,594 $26,921 −38% $43,298 −62% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $16,514 $26,909 −39% $40,642 −59% —
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $16,513 $20,380 −19% $40,694 −59% —
754 MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITH MCC $16,510 $23,853 −31% $32,433 −49% —
919 COMPLICATIONS OF TREATMENT WITH MCC $16,508 $17,347 −5% $31,105 −47% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $16,395 $25,985 −37% $40,552 −60% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $16,371 $22,401 −27% $37,842 −57% ≈109% of Medicare
789 NEONATES DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $16,369 $16,295 +0% $16,351 +0% —
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $16,362 $26,794 −39% $40,365 −59% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $16,356 $26,296 −38% $39,515 −59% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $16,350 $17,397 −6% $34,276 −52% —
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $16,342 $27,152 −40% $30,243 −46% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $16,316 $23,143 −30% $37,950 −57% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $16,252 $26,007 −38% $39,020 −58% —
075 VIRAL MENINGITIS WITH CC/MCC $16,191 $25,549 −37% $30,447 −47% —
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $16,139 $25,727 −37% $32,443 −50% —
896 ALCOHOL DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $16,116 $14,025 +15% $31,159 −48% —
722 MALIGNANCY MALE REPRODUCTIVE SYSTEM WITH MCC $16,110 $25,633 −37% $29,826 −46% —
199 PNEUMOTHORAX WITH MCC $16,014 $26,106 −39% $33,787 −53% —
501 SOFT TISSUE PROCEDURES WITH CC $16,009 $26,358 −39% $39,619 −60% —
580 OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $15,975 $26,206 −39% $38,101 −58% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $15,913 $26,510 −40% $26,510 −40% —
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $15,906 $17,053 −7% $31,951 −50% —
915 ALLERGIC REACTIONS WITH MCC $15,854 $25,750 −38% $32,645 −51% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $15,832 $25,881 −39% $33,555 −53% —
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $15,832 $25,923 −39% $35,849 −56% —
144 OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITH CC $15,831 $25,994 −39% $30,553 −48% —
504 FOOT PROCEDURES WITH CC $15,810 $25,876 −39% $38,960 −59% —
180 RESPIRATORY NEOPLASMS WITH MCC $15,802 $25,879 −39% $36,658 −57% —
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $15,802 $21,935 −28% $38,836 −59% —
505 FOOT PROCEDURES WITHOUT CC/MCC $15,745 $25,972 −39% $34,937 −55% —
116 INTRAOCULAR PROCEDURES WITH CC/MCC $15,624 $24,851 −37% $29,126 −46% —
671 URETHRAL PROCEDURES WITH CC/MCC $15,581 $25,566 −39% $27,233 −43% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $15,491 $18,646 −17% $38,094 −59% —
922 OTHER INJURY POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $15,483 $25,121 −38% $31,563 −51% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $15,468 $25,272 −39% $43,477 −64% —
551 MEDICAL BACK PROBLEMS WITH MCC $15,450 $25,341 −39% $34,017 −55% —
597 MALIGNANT BREAST DISORDERS WITH MCC $15,433 $25,994 −41% $33,386 −54% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $15,407 $22,671 −32% $26,682 −42% —
801 SPLENIC PROCEDURES WITHOUT CC/MCC $15,341 $24,502 −37% $36,445 −58% —
571 SKIN DEBRIDEMENT WITH CC $15,233 $24,925 −39% $37,169 −59% —
746 VAGINA CERVIX AND VULVA PROCEDURES WITH CC/MCC $15,186 $24,928 −39% $29,916 −49% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $15,186 $24,884 −39% $32,944 −54% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $15,156 $25,010 −39% $32,496 −53% ≈120% of Medicare
666 PROSTATECTOMY WITH CC $15,153 $24,574 −38% $31,906 −53% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $15,112 $22,529 −33% $34,273 −56% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $15,100 $24,787 −39% $32,628 −54% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $15,086 $24,869 −39% $33,876 −55% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $15,077 $25,133 −40% $29,079 −48% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $15,073 $24,147 −38% $36,354 −59% —
157 DENTAL AND ORAL DISEASES WITH MCC $15,064 $24,447 −38% $31,300 −52% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $15,036 $24,622 −39% $44,117 −66% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $15,024 $21,670 −31% $34,607 −57% —
643 ENDOCRINE DISORDERS WITH MCC $14,990 $24,704 −39% $33,563 −55% —
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $14,979 $24,292 −38% $28,202 −47% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $14,965 $24,718 −39% $44,606 −66% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $14,909 $24,174 −38% $33,707 −56% ≈114% of Medicare
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $14,905 $22,379 −33% $34,192 −56% —
334 RECTAL RESECTION WITHOUT CC/MCC $14,876 $24,721 −40% $36,820 −60% —
296 CARDIAC ARREST UNEXPLAINED WITH MCC $14,752 $22,841 −35% $33,661 −56% —
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $14,750 $24,586 −40% $25,197 −41% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $14,738 $24,475 −40% $30,235 −51% —
280 ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITH MCC $14,718 $21,187 −31% $30,828 −52% ≈121% of Medicare
509 ARTHROSCOPY $14,717 $25,994 −43% $25,994 −43% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $14,659 $23,998 −39% $35,584 −59% —
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $14,606 $24,771 −41% $29,316 −50% —
512 SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $14,606 $24,061 −39% $35,692 −59% —
038 EXTRACRANIAL PROCEDURES WITH CC $14,584 $24,107 −40% $35,770 −59% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $14,563 $23,902 −39% $35,419 −59% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $14,562 $17,302 −16% $27,617 −47% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $14,548 $24,189 −40% $27,316 −47% —
606 MINOR SKIN DISORDERS WITH MCC $14,535 $20,159 −28% $27,975 −48% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $14,529 $24,514 −41% $35,831 −59% —
154 OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITH MCC $14,483 $15,028 −4% $27,633 −48% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $14,404 $23,784 −39% $41,955 −66% —
183 MAJOR CHEST TRAUMA WITH MCC $14,367 $14,367 +0% $29,933 −52% —
328 STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $14,356 $23,876 −40% $39,006 −63% —
913 TRAUMATIC INJURY WITH MCC $14,303 $24,198 −41% $24,198 −41% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $14,275 $23,510 −39% $34,749 −59% —
186 PLEURAL EFFUSION WITH MCC $14,256 $23,701 −40% $33,834 −58% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $14,251 $17,198 −17% $33,633 −58% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $14,235 $23,703 −40% $35,074 −59% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $14,223 $11,423 +25% $33,653 −58% —
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $14,209 $23,257 −39% $26,598 −47% —
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $14,190 $23,602 −40% $34,906 −59% —
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $14,178 $22,893 −38% $33,694 −58% —
533 FRACTURES OF FEMUR WITH MCC $14,177 $22,986 −38% $25,945 −45% —
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $14,127 $23,326 −39% $34,434 −59% —
557 TENDONITIS MYOSITIS AND BURSITIS WITH MCC $14,094 $16,262 −13% $32,877 −57% —
813 COAGULATION DISORDERS $14,093 $23,285 −39% $33,296 −58% —
513 HAND OR WRIST PROCEDURES EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $14,033 $22,735 −38% $33,424 −58% —
669 TRANSURETHRAL PROCEDURES WITH CC $14,013 $23,279 −40% $34,354 −59% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $14,009 $23,658 −41% $32,697 −57% —
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $14,008 $23,065 −39% $25,703 −45% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $13,985 $22,780 −39% $29,221 −52% —
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $13,934 $21,965 −37% $24,550 −43% —
865 VIRAL ILLNESS WITH MCC $13,918 $22,350 −38% $26,910 −48% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $13,824 $23,118 −40% $39,211 −65% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $13,822 $22,265 −38% $26,463 −48% —
945 REHABILITATION WITH CC/MCC $13,814 $23,834 −42% $23,834 −42% —
398 APPENDIX PROCEDURES WITH CC $13,748 $22,834 −40% $40,162 −66% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $13,728 $22,628 −39% $24,586 −44% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $13,689 $22,516 −39% $33,048 −59% —
663 MINOR BLADDER PROCEDURES WITH CC $13,665 $23,018 −41% $33,103 −59% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $13,660 $22,175 −38% $31,170 −56% —
626 THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $13,660 $22,783 −40% $33,454 −59% —
895 ALCOHOL DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $13,660 $11,804 +16% $21,986 −38% —
682 RENAL FAILURE WITH MCC $13,644 $19,763 −31% $29,064 −53% ≈118% of Medicare
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $13,634 $22,202 −39% $27,394 −50% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $13,594 $18,496 −27% $36,253 −63% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $13,571 $25,440 −47% $33,393 −59% —
604 TRAUMA TO THE SKIN SUBCUTANEOUS TISSUE AND BREAST WITH MCC $13,566 $22,477 −40% $28,140 −52% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $13,521 $22,721 −40% $36,505 −63% —
506 MAJOR THUMB OR JOINT PROCEDURES $13,511 $22,651 −40% $30,557 −56% —
562 FRACTURE SPRAIN STRAIN AND DISLOCATION EXCEPT FEMUR HIP PELVIS AND THIGH WITH MCC $13,481 $18,614 −28% $29,743 −55% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $13,461 $4,964 +171% $8,445 +59% —
602 CELLULITIS WITH MCC $13,413 $22,262 −40% $30,598 −56% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $13,402 $22,435 −40% $36,988 −64% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $13,315 $22,882 −42% $33,674 −60% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $13,313 $22,272 −40% $30,571 −56% —
637 DIABETES WITH MCC $13,221 $22,095 −40% $30,100 −56% —
088 CONCUSSION WITH MCC $13,214 $21,503 −39% $24,402 −46% —
693 URINARY STONES WITH MCC $13,202 $22,278 −41% $23,892 −45% —
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $13,180 $22,265 −41% $25,073 −47% —
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $13,165 $21,961 −40% $32,100 −59% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $13,152 $21,793 −40% $32,833 −60% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $13,121 $21,228 −38% $25,094 −48% —
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $13,114 $22,077 −41% $24,941 −47% —
757 INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITH MCC $13,111 $21,563 −39% $26,280 −50% —
137 MOUTH PROCEDURES WITH CC/MCC $13,054 $20,200 −35% $27,861 −53% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $13,036 $21,908 −40% $22,525 −42% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $13,032 $21,795 −40% $35,465 −63% —
710 PENIS PROCEDURES WITHOUT CC/MCC $13,019 $22,681 −43% $26,436 −51% —
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $12,923 $21,615 −40% $22,620 −43% —
581 OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $12,808 $16,604 −23% $26,932 −52% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $12,805 $21,483 −40% $30,959 −59% —
811 RED BLOOD CELL DISORDERS WITH MCC $12,793 $18,473 −31% $28,226 −55% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $12,755 $21,642 −41% $27,808 −54% —
630 OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $12,739 $21,381 −40% $22,393 −43% —
885 PSYCHOSES $12,696 $16,501 −23% $21,729 −42% ≈122% of Medicare
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $12,673 $21,328 −41% $31,017 −59% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $12,667 $17,928 −29% $27,152 −53% —
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $12,538 $20,875 −40% $30,242 −59% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $12,492 $20,619 −39% $29,805 −58% —
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $12,459 $21,277 −41% $27,119 −54% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $12,428 $17,388 −29% $24,127 −48% —
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $12,383 $20,978 −41% $30,418 −59% —
150 EPISTAXIS WITH MCC $12,378 $21,133 −41% $23,171 −47% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $12,338 $20,766 −41% $29,949 −59% —
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $12,281 $21,022 −42% $30,493 −60% —
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $12,274 $20,980 −41% $20,980 −41% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $12,248 $12,946 −5% $27,543 −56% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $12,239 $20,497 −40% $32,841 −63% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $12,227 $20,586 −41% $31,264 −61% —
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $12,209 $19,945 −39% $22,811 −46% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $12,185 $19,911 −39% $26,870 −55% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $12,117 $20,782 −42% $30,083 −60% —
640 MISCELLANEOUS DISORDERS OF NUTRITION METABOLISM FLUIDS AND ELECTROLYTES WITH MCC $12,064 $20,430 −41% $25,463 −53% ≈130% of Medicare
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $12,047 $19,931 −40% $26,051 −54% —
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $12,039 $20,296 −41% $27,275 −56% ≈120% of Medicare
836 ACUTE LEUKEMIA WITHOUT CC/MCC $12,026 $19,686 −39% $19,686 −39% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $12,018 $16,237 −26% $24,552 −51% —
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $11,997 $20,295 −41% $36,937 −68% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $11,977 $19,930 −40% $27,989 −57% —
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $11,974 $12,397 −3% $27,043 −56% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $11,946 $18,091 −34% $27,426 −56% —
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $11,944 $14,158 −16% $21,894 −45% —
139 SALIVARY GLAND PROCEDURES $11,936 $21,014 −43% $23,612 −49% —
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $11,842 $19,655 −40% $28,156 −58% —
291 HEART FAILURE AND SHOCK WITH MCC $11,833 $20,129 −41% $26,776 −56% ≈118% of Medicare
540 OSTEOMYELITIS WITH CC $11,814 $19,990 −41% $26,676 −56% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $11,736 $19,916 −41% $25,748 −54% —
391 ESOPHAGITIS GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $11,689 $19,865 −41% $28,050 −58% ≈122% of Medicare
947 SIGNS AND SYMPTOMS WITH MCC $11,626 $12,290 −5% $27,401 −58% —
348 ANAL AND STOMAL PROCEDURES WITH CC $11,619 $19,533 −41% $27,947 −58% —
642 INBORN AND OTHER DISORDERS OF METABOLISM $11,521 $19,302 −40% $20,727 −44% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $11,498 $18,202 −37% $27,297 −58% —
627 THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $11,466 $19,637 −42% $28,125 −59% —
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $11,456 $19,581 −41% $22,320 −49% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $11,425 $19,169 −40% $27,323 −58% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $11,417 $19,686 −42% $23,498 −51% —
147 EAR NOSE MOUTH AND THROAT MALIGNANCY WITH CC $11,336 $19,350 −41% $22,851 −50% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $11,305 $19,267 −41% $28,320 −60% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $11,282 $18,497 −39% $26,580 −58% ≈120% of Medicare
735 PELVIC EVISCERATION RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $11,231 $18,949 −41% $26,948 −58% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $11,204 $19,017 −41% $25,581 −56% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $11,204 $16,000 −30% $22,458 −50% —
887 OTHER MENTAL DISORDER DIAGNOSES $11,197 $14,190 −21% $20,616 −46% —
593 SKIN ULCERS WITH CC $11,128 $19,063 −42% $22,886 −51% —
375 DIGESTIVE MALIGNANCY WITH CC $11,128 $13,647 −18% $27,277 −59% —
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $11,111 $19,354 −43% $19,354 −43% —
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $11,078 $19,183 −42% $19,270 −43% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $11,064 $19,075 −42% $27,163 −59% —
549 SEPTIC ARTHRITIS WITH CC $11,015 $18,835 −42% $24,056 −54% —
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $11,012 $17,806 −38% $21,230 −48% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $11,007 $18,845 −42% $26,770 −59% ≈131% of Medicare
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $11,000 $18,291 −40% $19,412 −43% —
114 ORBITAL PROCEDURES WITHOUT CC/MCC $10,959 $18,536 −41% $19,598 −44% —
145 OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $10,942 $18,572 −41% $25,712 −57% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $10,842 $18,752 −42% $30,784 −65% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $10,807 $15,377 −30% $21,847 −51% —
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $10,804 $19,132 −44% $19,132 −44% —
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $10,757 $18,038 −40% $25,390 −58% —
102 HEADACHES WITH MCC $10,750 $11,859 −9% $25,740 −58% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $10,717 $18,220 −41% $25,700 −58% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $10,715 $18,383 −42% $23,617 −55% ≈124% of Medicare
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $10,680 $18,290 −42% $23,443 −54% —
304 HYPERTENSION WITH MCC $10,663 $18,442 −42% $26,080 −59% —
152 OTITIS MEDIA AND URI WITH MCC $10,550 $17,922 −41% $20,247 −48% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $10,533 $17,832 −41% $24,566 −57% —
302 ATHEROSCLEROSIS WITH MCC $10,511 $17,761 −41% $22,446 −53% —
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $10,448 $17,544 −40% $24,544 −57% —
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $10,446 $18,021 −42% $24,944 −58% —
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $10,426 $17,967 −42% $26,618 −61% —
560 AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $10,402 $15,985 −35% $25,279 −59% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $10,341 $18,191 −43% $25,652 −60% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $10,299 $11,694 −12% $18,133 −43% —
598 MALIGNANT BREAST DISORDERS WITH CC $10,257 $17,197 −40% $19,073 −46% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $10,256 $17,780 −42% $31,321 −67% —
723 MALIGNANCY MALE REPRODUCTIVE SYSTEM WITH CC $10,255 $17,768 −42% $19,815 −48% —
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $10,254 $17,193 −40% $17,193 −40% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $10,242 $11,266 −9% $25,034 −59% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $10,218 $17,654 −42% $24,386 −58% —
712 TESTES PROCEDURES WITHOUT CC/MCC $10,171 $17,076 −40% $18,898 −46% —
181 RESPIRATORY NEOPLASMS WITH CC $10,141 $17,555 −42% $23,573 −57% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $10,120 $17,505 −42% $27,843 −64% —
755 MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITH CC $10,090 $16,999 −41% $18,459 −45% —
089 CONCUSSION WITH CC $10,068 $17,109 −41% $18,821 −47% —
200 PNEUMOTHORAX WITH CC $10,051 $14,483 −31% $21,368 −53% —
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $9,968 $16,434 −39% $22,557 −56% —
287 CIRCULATORY DISORDERS EXCEPT AMI WITH CARDIAC CATHETERIZATION WITHOUT MCC $9,962 $15,235 −35% $32,021 −69% ≈129% of Medicare
445 DISORDERS OF THE BILIARY TRACT WITH CC $9,947 $16,211 −39% $23,319 −57% —
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $9,943 $17,354 −43% $20,926 −52% —
381 COMPLICATED PEPTIC ULCER WITH CC $9,932 $17,329 −43% $24,177 −59% —
946 REHABILITATION WITHOUT CC/MCC $9,907 $17,685 −44% $17,685 −44% —
949 AFTERCARE WITH CC/MCC $9,872 $17,198 −43% $23,953 −59% —
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $9,843 $17,209 −43% $22,314 −56% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $9,821 $16,963 −42% $23,551 −58% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $9,806 $12,227 −20% $20,422 −52% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $9,789 $14,761 −34% $17,483 −44% —
184 MAJOR CHEST TRAUMA WITH CC $9,745 $15,014 −35% $22,432 −57% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $9,743 $11,583 −16% $22,763 −57% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $9,695 $16,847 −42% $19,657 −51% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $9,691 $17,079 −43% $23,749 −59% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $9,690 $12,825 −24% $17,226 −44% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $9,635 $9,635 +0% $20,232 −52% —
644 ENDOCRINE DISORDERS WITH CC $9,573 $16,607 −42% $23,198 −59% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $9,563 $15,015 −36% $23,283 −59% —
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $9,558 $16,213 −41% $17,737 −46% —
672 URETHRAL PROCEDURES WITHOUT CC/MCC $9,549 $17,398 −45% $17,398 −45% —
697 URETHRAL STRICTURE $9,546 $16,196 −41% $18,428 −48% —
667 PROSTATECTOMY WITHOUT CC/MCC $9,503 $16,534 −43% $16,703 −43% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $9,493 $14,665 −35% $25,970 −63% —
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $9,490 $16,553 −43% $22,850 −58% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $9,462 $15,715 −40% $22,888 −59% ≈133% of Medicare
745 D&C CONIZATION LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $9,444 $16,495 −43% $18,348 −49% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $9,439 $15,418 −39% $23,571 −60% —
514 HAND OR WRIST PROCEDURES EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $9,431 $16,427 −43% $22,635 −58% —
920 COMPLICATIONS OF TREATMENT WITH CC $9,386 $16,379 −43% $22,468 −58% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $9,369 $16,973 −45% $21,275 −56% —
923 OTHER INJURY POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $9,341 $13,643 −32% $17,601 −47% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $9,338 $15,215 −39% $23,940 −61% ≈132% of Medicare
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $9,327 $15,901 −41% $15,901 −41% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $9,302 $16,429 −43% $22,506 −59% —
765 NO ACTIVE CODE DESCRIPTION $9,288 $5,336 +74% $5,336 +74% —
766 NO ACTIVE CODE DESCRIPTION $9,288 $5,336 +74% $5,336 +74% —
758 INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITH CC $9,280 $16,423 −43% $20,901 −56% —
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $9,266 $12,824 −28% $19,264 −52% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $9,256 $9,256 +0% $25,303 −63% —
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $9,229 $10,035 −8% $17,698 −48% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $9,206 $16,171 −43% $20,957 −56% —
187 PLEURAL EFFUSION WITH CC $9,202 $16,225 −43% $21,789 −58% —
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $9,198 $15,890 −42% $17,404 −47% —
197 INTERSTITIAL LUNG DISEASE WITH CC $9,124 $16,043 −43% $21,941 −58% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $9,103 $16,070 −43% $22,024 −59% —
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $9,092 $15,986 −43% $20,895 −56% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $9,059 $12,567 −28% $22,033 −59% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $9,058 $15,990 −43% $22,098 −59% ≈122% of Medicare
770 ABORTION WITH D&C ASPIRATION CURETTAGE OR HYSTEROTOMY $9,017 $16,587 −46% $18,956 −52% —
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $9,015 $15,610 −42% $16,700 −46% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $8,923 $15,547 −43% $18,316 −51% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $8,918 $12,418 −28% $16,846 −47% —
756 MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $8,896 $15,589 −43% $15,589 −43% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $8,876 $15,347 −42% $21,396 −59% ≈123% of Medicare
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $8,870 $15,684 −43% $21,363 −58% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $8,866 $10,530 −16% $17,724 −50% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $8,845 $15,734 −44% $21,449 −59% —
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $8,817 $15,598 −43% $20,911 −58% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $8,810 $8,743 +1% $17,733 −50% —
882 NEUROSES EXCEPT DEPRESSIVE $8,783 $9,719 −10% $15,680 −44% —
779 ABORTION WITHOUT D&C $8,777 $12,637 −31% $15,327 −43% —
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $8,734 $16,212 −46% $16,212 −46% —
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $8,711 $13,481 −35% $17,934 −51% —
158 DENTAL AND ORAL DISEASES WITH CC $8,656 $15,402 −44% $18,466 −53% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $8,655 $13,612 −36% $20,181 −57% ≈124% of Medicare
155 OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITH CC $8,640 $15,311 −44% $16,968 −49% —
537 SPRAINS STRAINS AND DISLOCATIONS OF HIP PELVIS AND THIGH WITH CC/MCC $8,617 $15,121 −43% $18,072 −52% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $8,586 $15,217 −44% $20,566 −58% —
747 VAGINA CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $8,584 $15,591 −45% $19,594 −56% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $8,546 $15,039 −43% $20,259 −58% —
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $8,533 $14,770 −42% $15,764 −46% —
076 VIRAL MENINGITIS WITHOUT CC/MCC $8,469 $18,526 −54% $17,135 −51% —
281 ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITH CC $8,468 $13,699 −38% $20,463 −59% ≈117% of Medicare
605 TRAUMA TO THE SKIN SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $8,466 $10,110 −16% $20,506 −59% —
101 SEIZURES WITHOUT MCC $8,457 $15,157 −44% $20,461 −59% —
812 RED BLOOD CELL DISORDERS WITHOUT MCC $8,437 $15,172 −44% $20,488 −59% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $8,422 $14,627 −42% $19,854 −58% —
914 TRAUMATIC INJURY WITHOUT MCC $8,421 $12,958 −35% $15,855 −47% —
881 DEPRESSIVE NEUROSES $8,403 $9,069 −7% $15,058 −44% —
638 DIABETES WITH CC $8,400 $15,098 −44% $19,661 −57% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $8,377 $14,950 −44% $18,488 −55% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $8,346 $13,537 −38% $15,370 −46% —
866 VIRAL ILLNESS WITHOUT MCC $8,267 $13,782 −40% $17,081 −52% —
563 FRACTURE SPRAIN STRAIN AND DISLOCATION EXCEPT FEMUR HIP PELVIS AND THIGH WITHOUT MCC $8,252 $14,795 −44% $19,842 −58% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $8,249 $14,776 −44% $22,148 −63% —
683 RENAL FAILURE WITH CC $8,240 $14,731 −44% $19,130 −57% ≈131% of Medicare
864 FEVER AND INFLAMMATORY CONDITIONS $8,238 $14,849 −45% $18,640 −56% —
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $8,214 $14,383 −43% $19,138 −57% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $8,192 $13,306 −38% $20,084 −59% —
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $8,176 $14,654 −44% $16,998 −52% —
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $8,172 $13,602 −40% $19,962 −59% —
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $8,172 $13,602 −40% $18,452 −56% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $8,166 $14,668 −44% $16,520 −51% —
090 CONCUSSION WITHOUT CC/MCC $8,159 $14,321 −43% $15,412 −47% —
603 CELLULITIS WITHOUT MCC $8,143 $14,626 −44% $18,530 −56% ≈138% of Medicare
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $8,105 $14,635 −45% $19,569 −59% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $8,093 $14,675 −45% $15,452 −48% —
607 MINOR SKIN DISORDERS WITHOUT MCC $8,073 $13,541 −40% $15,889 −49% —
897 ALCOHOL DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $8,062 $12,389 −35% $16,699 −52% —
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $8,050 $14,480 −44% $19,305 −58% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $8,044 $13,884 −42% $19,846 −59% —
541 OSTEOMYELITIS WITHOUT CC/MCC $8,027 $13,738 −42% $15,215 −47% —
558 TENDONITIS MYOSITIS AND BURSITIS WITHOUT MCC $8,025 $14,405 −44% $18,602 −57% —
312 SYNCOPE AND COLLAPSE $8,023 $14,502 −45% $19,342 −59% ≈127% of Medicare
292 HEART FAILURE AND SHOCK WITH CC $7,943 $13,422 −41% $16,371 −51% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $7,933 $11,282 −30% $19,096 −58% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $7,907 $14,344 −45% $18,807 −58% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $7,837 $13,791 −43% $18,126 −57% —
103 HEADACHES WITHOUT MCC $7,836 $14,229 −45% $21,280 −63% —
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $7,826 $14,055 −44% $14,055 −44% —
138 MOUTH PROCEDURES WITHOUT CC/MCC $7,693 $13,752 −44% $19,119 −60% —
148 EAR NOSE MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $7,692 $13,586 −43% $13,586 −43% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $7,682 $14,026 −45% $18,528 −59% —
594 SKIN ULCERS WITHOUT CC/MCC $7,658 $14,209 −46% $14,209 −46% —
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $7,634 $13,822 −45% $14,501 −47% —
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $7,628 $14,064 −46% $14,064 −46% —
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $7,598 $13,837 −45% $18,204 −58% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $7,584 $13,791 −45% $18,126 −58% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $7,555 $13,911 −46% $17,298 −56% —
204 RESPIRATORY SIGNS AND SYMPTOMS $7,547 $9,672 −22% $18,004 −58% —
176 PULMONARY EMBOLISM WITHOUT MCC $7,546 $12,624 −40% $18,081 −58% —
534 FRACTURES OF FEMUR WITHOUT MCC $7,526 $10,860 −31% $17,559 −57% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $7,513 $13,799 −46% $17,118 −56% —
561 AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $7,455 $13,806 −46% $18,150 −59% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $7,450 $13,611 −45% $17,674 −58% ≈141% of Medicare
123 NEUROLOGICAL EYE DISORDERS $7,444 $13,618 −45% $19,745 −62% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $7,438 $13,719 −46% $18,002 −59% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $7,423 $13,385 −45% $14,014 −47% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $7,412 $13,598 −45% $17,578 −58% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $7,410 $13,579 −45% $21,056 −65% ≈128% of Medicare
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $7,402 $13,542 −45% $17,700 −58% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $7,385 $13,506 −45% $17,921 −59% —
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $7,345 $13,445 −45% $13,445 −45% —
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $7,345 $14,290 −49% $14,290 −49% —
392 ESOPHAGITIS GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $7,254 $13,321 −46% $17,322 −58% ≈125% of Medicare
694 URINARY STONES WITHOUT MCC $7,252 $13,336 −46% $17,345 −58% —
641 MISCELLANEOUS DISORDERS OF NUTRITION METABOLISM FLUIDS AND ELECTROLYTES WITHOUT MCC $7,248 $13,336 −46% $17,038 −57% ≈127% of Medicare
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $7,171 $12,879 −44% $16,565 −57% —
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $7,170 $13,300 −46% $15,428 −54% —
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $7,148 $13,288 −46% $17,124 −58% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $7,125 $13,184 −46% $14,648 −51% —
151 EPISTAXIS WITHOUT MCC $7,079 $12,787 −45% $13,032 −46% —
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $7,056 $13,002 −46% $16,776 −58% —
724 MALIGNANCY MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $7,026 $12,650 −44% $12,768 −45% —
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $6,987 $11,948 −42% $16,634 −58% —
305 HYPERTENSION WITHOUT MCC $6,984 $12,937 −46% $18,086 −61% ≈120% of Medicare
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $6,960 $12,903 −46% $14,716 −53% —
149 DYSEQUILIBRIUM $6,938 $12,896 −46% $18,096 −62% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $6,917 $11,888 −42% $12,895 −46% —
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $6,914 $12,593 −45% $12,593 −45% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $6,891 $12,789 −46% $17,303 −60% ≈136% of Medicare
284 ACUTE MYOCARDIAL INFARCTION EXPIRED WITH CC $6,886 $12,811 −46% $16,450 −58% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $6,878 $12,855 −46% $15,019 −54% —
188 PLEURAL EFFUSION WITHOUT CC/MCC $6,866 $12,723 −46% $14,514 −53% —
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $6,767 $12,284 −45% $15,549 −56% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $6,747 $9,691 −30% $13,275 −49% —
282 ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITHOUT CC/MCC $6,727 $12,605 −47% $19,227 −65% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $6,724 $10,747 −37% $16,767 −60% —
153 OTITIS MEDIA AND URI WITHOUT MCC $6,700 $12,431 −46% $14,583 −54% —
313 CHEST PAIN $6,675 $12,453 −46% $16,440 −59% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $6,655 $9,155 −27% $12,454 −47% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $6,647 $12,253 −46% $15,495 −57% —
297 CARDIAC ARREST UNEXPLAINED WITH CC $6,638 $12,336 −46% $12,336 −46% —
767 NO ACTIVE CODE DESCRIPTION $6,638 $3,032 +119% $3,032 +119% —
774 NO ACTIVE CODE DESCRIPTION $6,638 $3,032 +119% $3,032 +119% —
775 NO ACTIVE CODE DESCRIPTION $6,638 $3,032 +119% $3,032 +119% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $6,633 $8,900 −25% $15,837 −58% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $6,611 $12,534 −47% $12,559 −47% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $6,586 $12,314 −47% $15,600 −58% —
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $6,535 $11,997 −46% $11,997 −46% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $6,517 $12,204 −47% $14,797 −56% —
311 ANGINA PECTORIS $6,509 $12,174 −47% $15,502 −58% —
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $6,490 $10,551 −38% $12,252 −47% —
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $6,456 $11,847 −46% $11,847 −46% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $6,453 $12,173 −47% $14,689 −56% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $6,447 $12,120 −47% $14,415 −55% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $6,419 $12,127 −47% $20,781 −69% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $6,412 $12,234 −48% $12,460 −49% —
201 PNEUMOTHORAX WITHOUT CC/MCC $6,410 $11,982 −46% $14,053 −54% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $6,402 $12,055 −47% $13,651 −53% —
538 SPRAINS STRAINS AND DISLOCATIONS OF HIP PELVIS AND THIGH WITHOUT CC/MCC $6,387 $11,909 −46% $11,909 −46% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $6,320 $11,752 −46% $14,638 −57% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $6,304 $8,566 −26% $16,288 −61% —
303 ATHEROSCLEROSIS WITHOUT MCC $6,236 $11,921 −48% $14,927 −58% —
156 OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $6,228 $11,921 −48% $14,549 −57% —
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $6,214 $11,755 −47% $13,633 −54% —
916 ALLERGIC REACTIONS WITHOUT MCC $6,190 $11,813 −48% $13,942 −56% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $6,156 $9,058 −32% $12,078 −49% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $6,040 $11,510 −48% $14,368 −58% —
759 INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $6,011 $11,501 −48% $14,250 −58% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $5,994 $11,454 −48% $14,128 −58% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $5,952 $8,218 −28% $15,038 −60% —
639 DIABETES WITHOUT CC/MCC $5,861 $11,327 −48% $13,910 −58% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $5,852 $9,063 −35% $11,421 −49% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $5,847 $11,225 −48% $13,824 −58% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $5,773 $8,316 −31% $15,183 −62% —
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $5,743 $11,071 −48% $11,071 −48% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $5,737 $10,975 −48% $10,975 −48% —
684 RENAL FAILURE WITHOUT CC/MCC $5,706 $11,077 −48% $13,642 −58% —
894 ALCOHOL DRUG ABUSE OR DEPENDENCE LEFT AMA $5,700 $11,294 −50% $12,324 −54% —
950 AFTERCARE WITHOUT CC/MCC $5,674 $10,801 −47% $13,527 −58% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $5,414 $9,653 −44% $10,160 −47% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $5,257 $10,456 −50% $13,384 −61% ≈149% of Medicare
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $5,220 $10,316 −49% $12,999 −60% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $5,204 $10,296 −49% $13,361 −61% —
285 ACUTE MYOCARDIAL INFARCTION EXPIRED WITHOUT CC/MCC $5,072 $10,480 −52% $10,480 −52% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $4,901 $5,116 −4% $9,940 −51% —
298 CARDIAC ARREST UNEXPLAINED WITHOUT CC/MCC $4,225 $8,927 −53% $8,927 −53% —
780 NO ACTIVE CODE DESCRIPTION $3,449 $3,449 — $4,253 −19% —
795 NORMAL NEWBORN $2,088 $3,472 −40% $4,720 −56% —
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $2,078 $3,983 −48% $15,215 −86% —
999 UNGROUPABLE $2,078 $11,742 −82% $29,674 −93% —
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